Organization
ESSENTIA HOME CAE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DANIEL YOUNG JR. RN (SECRETARY)
(816) 916-8703
Entity
Organization
Contact information
Practice address
7701 NW 74TH TER, KANSAS CITY, MO 64152-2322
(816) 916-8703
Mailing address
7701 NW 74TH TER, KANSAS CITY, MO 64152-2322
(816) 916-8703
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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